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1972646511
HUMAN SUPPORTS OF IDAHO, INC
CALDWELL, ID
NPI
1972646511
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Entity Type
Organization
Authorized Contact
GREGORY LEROY DICKERSON
Administrator
208-321-0160
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2007-02-14
Last Update Date
2013-09-30
Business Address
HUMAN SUPPORTS OF IDAHO, INC
314 BADIOLA ST
CALDWELL, ID 83605-4389
Phone number: 208-454-8389
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Mailing Address
HUMAN SUPPORTS OF IDAHO, INC
PO BOX 820
CALDWELL, ID 83606-0820
Phone number: 208-454-8389
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